Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice

Family Practice
A EdwardsStudy Steering Group

Abstract

Shared decision-making (SDM) between professionals and patients is increasingly advocated from ethical principles. Some data are accruing about the effects of such approaches on health or other patient-based outcomes. These effects often vary substantially between studies. Our aim was to evaluate the effects of training GPs in SDM, and the use of simple risk communication aids in general practice, on patient-based outcomes. A cluster randomized trial with crossover was carried out with the participation of 20 recently qualified GPs in urban and rural general practices in Gwent, South Wales. A total of 747 patients with known atrial fibrillation, prostatism, menorrhagia or menopausal symptoms were invited to a consultation to review their condition or treatments. After baseline, participating doctors were randomized to receive training in (i) SDM skills; or (ii) the use of simple risk communication aids, using simulated patients. The alternative training was then provided for the final study phase. Patients were randomly allocated to a consultation during baseline or intervention 1 (SDM or risk communication aids) or intervention 2 phases. A randomly selected half of the consultations took place in 'research clinics' to evaluate...Continue Reading

Citations

Sep 8, 2010·Zeitschrift für Gerontologie und Geriatrie·I VoigtU Junius-Walker
Dec 20, 2012·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Kerry E JoyceRichard Thomson
Aug 23, 2012·Journal of Genetic Counseling·Kara-Grace LeventhalKristi D Graves
Dec 26, 2008·European Heart Journal·Jose LealPhilip M Clarke
May 12, 2006·Journal of General Internal Medicine·Mark D SullivanBarak Gaster
Nov 13, 2008·BMJ : British Medical Journal·Merrick ZwarensteinUNKNOWN Pragmatic Trials in Healthcare (Practihc) group
Jul 2, 2009·BMC Family Practice·Linda CasebeerSijian Zhang
Mar 31, 2007·BMC Medical Informatics and Decision Making·Rasmus DahlJesper Bo Nielsen
Apr 24, 2009·Journal of Empirical Research on Human Research Ethics : JERHRE·Emily E Anderson, Ana S Iltis
Jan 1, 2012·JMIR Research Protocols·Sarah Hm RobbenUNKNOWN ZOWEL NN Study Group
Feb 7, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Gillian KyeiReena Doshi
Nov 19, 2013·Journal of Comparative Effectiveness Research·Meghan C HalleyDominick L Frosch
Sep 14, 2014·Journal of the National Cancer Institute·Kenneth L KehlNancy L Keating
Oct 21, 2011·Journal of Interprofessional Care·Nananda ColValeria Pacheco-Huergo
Nov 16, 2012·Journal of Interprofessional Care·Mirjam KörnerAnne-Kathrin Steger
Oct 19, 2006·Expert Opinion on Drug Safety·Petra A Thürmann
Nov 26, 2014·BMC Health Services Research·Christoph KowalskiHolger Pfaff
Mar 13, 2016·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Catherine RiffinCorinna E L Ckenhoff
Feb 17, 2005·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Glyn ElwynRichard Grol
Jun 19, 2009·The Journal of Clinical Hypertension·Anja DeinzerRoland E Schmieder
Aug 17, 2006·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Frances RapportGlyn Elwyn
Jul 29, 2011·Pharmacoepidemiology and Drug Safety·David L B SchwappachPetra A Thürmann
Feb 18, 2011·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jane UptonSamantha Walker
Sep 29, 2015·Journal of Manipulative and Physiological Therapeutics·Vinicius C OliveiraPaulo H Ferreira
Apr 12, 2016·Teaching and Learning in Medicine·Leigh SimmonsKaren Sepucha
Aug 8, 2015·Healthcare : the Journal of Delivery Science and Innovation·Logan TrenamanNick Bansback
Feb 7, 2012·Patient Education and Counseling·France LégaréUNKNOWN SDM-CPD Team

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.